Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.48 / $5,116.62 / $14,374.00	Facility		$398.48	$5,116.62	$14,374.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.93 / $301.61 / $2,098.00	Professional		$190.93	$301.61	$2,098.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.27 / $391.74 / $619.53	Professional		$253.27	$391.74	$619.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.30 / $440.19 / $521.77	Professional		$371.30	$440.19	$521.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $272.69 / $385.02 / $511.92	Facility		$272.69	$385.02	$511.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $335.40 / $374.88 / $552.83	Professional		$335.40	$374.88	$552.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $299.91 / $396.15 / $422.28	Facility		$299.91	$396.15	$422.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $272.69 / $390.06 / $537.16	Facility		$272.69	$390.06	$537.16
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $311.66 / $311.66 / $311.66	Facility	62	$311.66	$311.66	$311.66
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $79.79 / $79.79 / $79.79	Facility	80	$79.79	$79.79	$79.79
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $67.81 / $67.81 / $67.81	Facility	AS	$67.81	$67.81	$67.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $373.75 / $429.10 / $579.98	Professional		$373.75	$429.10	$579.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $385.01 / $491.72 / $660.87	Professional		$385.01	$491.72	$660.87
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.50 / $429.10 / $661.06	Professional		$306.50	$429.10	$661.06